Registration

J.D.’s Fabulous Feet
Mailing Address: #11 Depalme Street, Red Deer, AB T4R 2G5

Student Information

Today's Date
Student's Name
 
Student's Birthday
Age as of Sept. 1st
Years of Experience
Previous Insturctors

Parent/Guardian Info.

Parent/Guardian Name
Home Number
Cell Number
Email
Address
City
Province
Postal Code

Emergency Info.

Emergency Contact
Home
Cell
Work
Medical problems/conditions we should be aware of:

Dance Discipline

Tap Lyrical (competitive only) Musical Theater (competitive) Jazz
Ballet Stretch/Strength Combo Class (jazz, ballet, tap 3-6 yrs.) Ballet Tech (must for pointe & students doing solo)
Pre-pointe Hip Hop Pointe (you will be notified if you can take this class) Contemporary (competitive only)
Lyrical/Contemporary Rec. Class(10 yrs & up) Musical Theater (recreational) Dancer's Bootcamp Program (for our competition team) Acro (competitive only)

Registration Fees

Prior to May 31st After May 31st
  Fee - $15.00
GST - $0.75
TOTAL - $15.75
  Fee - $25.00
GST - $1.25
TOTAL - $26.25

Payment Info.

Card Type
VisaMastercardAmerican Express
Card Number
Expiry Date
CV2

Parent/Guardian Signature

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